Preliminary assessment of the clinical efficacy of intra-articular umbilical cord-derived mesenchymal stem cell therapy combined with autologous platelet-rich plasma in the treatment of primary knee osteoarthritis at Buu Dien Hospital

Tran Hung Manh, Do Gia Truong, Nguyen Van Long, Le Minh Thuan, Le Manh Duc, Duong Van Thanh, Pham Truong Giang, Vu Thi Ha

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Abstract

The study was conducted to evaluate the clinical outcomes of intra-articular injection of allogeneic umbilical cord-derived mesenchymal stem cells combined with autologous platelet-rich plasma in patients with knee osteoarthritis. This was a prospective, interventional, longitudinal study which was performed on 20 patients diagnosed with knee osteoarthritis (40 knees) according to the 1991 American College of Rheumatology (ACR) diagnostic criteria and classified as grade 2 - 3 based on the Kellgren-Lawrence system, at Buu Dien Hospital. The results showed that after 6 months of treatment, all monitored pain symptoms improved significantly (p < 0.001). After 3 months, the proportion of patients with joint stiffness decreased to 15%, and by 9 months this rate further declined to 12.5%. The reduction in joint stiffness was statistically significant (p < 0.001). The VAS score decreased significantly from 5.95 ± 0.82 before treatment to 0.1 ± 0.44; the WOMAC score decreased significantly from 55.9 ± 8.4 before treatment to 5.65 ± 2.6 after 9 months (p < 0.001). The combination of umbilical cord-derived mesenchymal stem cell therapy with autologous platelet-rich plasma in the treatment of knee osteoarthritis provided marked improvement in clinical symptoms.

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References

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